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ImmunologicLaboratoryTestsKris5neKra6s,M.D.
• Agglu5na5onreac5ons• DAT
• IAT• Immunofluorescence
• ELISA
• Westernblot
• Flowcytometry
ImmunologicLabTestsOutline
• Whatdoesitmeasure?
• WheredoestheAg-Abinterac5onoccur?
• HowistheAg-Abcomplexdetected?
ThingstoRememberAboutEachTest
• Agglu5na5onreac5ons
ImmunologicLabTestsOutline
• Detec5onofAginthepa5ent’sspecimen
• Examples:• tes5ngforan5bodiestoinfec5ousagents• tes5ngforHemophilusinfluenzaetypeBcapsularan5geninCSF
Agglu5na5onReac5ons:Purpose
nega5ve posi5ve
• Agglu5na5onreac5ons• DAT
ImmunologicLabTestsOutline
• Detec5onofAbonpa5ent’sredcells
• AlsocalledthedirectCoombsTest
• Performedinpa5entswithhemoly5canemia
DAT:Purpose
patient red cells + AHG = agglutination
• Agglu5na5onreac5ons• DAT
• IAT
ImmunologicLabTestsOutline
• Detec5onofan5bodiestoredcellan5gens
• AlsocalledtheindirectCoombsTest
• Performedaspartofpre-transfusiontes5ng
IAT:Purpose
patient Ab + AHG = agglutination donor
RBC = Ab-coated donor RBC +
• Agglu5na5onreac5ons• DAT
• IAT• Immunofluorescence
ImmunologicLabTestsOutline
• Detec5onofaspecifican5genoran5bodyinapa5ent’sspecimen
• Examples:• detec5onofan5geninapa5ent’sbiopsyspecimen• detec5onofan5bodyinapa5ent’sserum
Immunofluorescence:Purpose
Posi5vefluorescentan5nuclearan5bodytest
• Agglu5na5onreac5ons• DAT
• IAT• Immunofluorescence
• ELISA
ImmunologicLabTestsOutline
• Detec5onofan5bodiesinpa5entspecimen
• Examples:• homepregnancytests• HIVtests• testsforsomecoagula5onfactors,cytokines,andautoan5bodies
ELISA:Purpose
• Agglu5na5onreac5ons• DAT
• IAT• Immunofluorescence
• ELISA
• Westernblot
ImmunologicLabTestsOutline
• Detec5onofan5bodiesinpa5entspecimen
• Mostcommonexample:HIVtest
WesternBlot:Purpose
Enoughbands=pa5entis“posi5ve”
• Agglu5na5onreac5ons• DAT
• IAT• Immunofluorescence
• ELISA
• Westernblot
• Flowcytometry
ImmunologicLabTestsOutline
• Characteriza5onofcellsize,complexity,an5gens
• Examples:• diagnosisofleukemiaandlymphoma• determina5onofCD4/CD8countsinpa5entswithHIV
FlowCytometry:Purpose
• Agglu5na5onreac5ons• DAT
• IAT• Immunofluorescence
• ELISA
• Westernblot
• Flowcytometry
ImmunologicLabTestsOutline